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While pain control in children has been poor in the past, pain control in neonates has been virtually neglected. In this review, I examine the rationalizations for not treating pain in neonates, then discuss three areas where pain control needs improvement, specifically, in surgical anesthesia, in analgesia for circumcision, and in analgesia following surgery. Suggestions are made for improving care in all three spheres.


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Donald C. Tyler, M.D.

Donald C. Tyler, M.D. is an Associate Professor of Anesthesiology & Pediatrics and the Co-Director of the Multidisciplinary Pain Service, Children's Hospital & Medical Center, Seattle, Washington. Address reprint requests to the author at the Children's Hospital & Medical Center.

JOURNAL OF PRENATAL AND PERINATAL PSYCHOLOGY AND HEALTH publishes research and clinical articles from the cutting edge of the science of prenatal and perinatal psychology and health. The journal, published quarterly since 1986, is dedicated to the in-depth exploration human reproduction and pregnancy and the mental and emotional development of the unborn and newborn child.

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